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VAERS Report 2156780

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-14
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

night sweats; tiredness; swelling at the point of vaccine; shivering; injection associated shivering; primary immunisation: unknown manufacturer, at least one was non-pfizer vaccine; booster: comirnaty; primary immunisation: unknown manufacturer, at least one was non-pfizer vaccine; booster: comirnaty; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. regulatory number: gb-mhra-webcovid-202202161854074720-hnxdi (agency). other case identifier(s): gb-mhra-adr 26611244 (agency). a 51 year-old male patient received bnt162b2 (comirnaty), administration date 14feb2022 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 2, manufacturer unknown), for covid-19 immunisation; covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation. the patient had no symptoms associated with covid-19 and was not enrolled in clinical trial. the following information was reported: off label use (medically significant), interchange of vaccine products (medically significant) all with onset 14feb2022, outcome "unknown" and all described as "primary immunisation: unknown manufacturer, at least one was non-pfizer vaccine; booster: comirnaty"; night sweats (medically significant), outcome "unknown", described as "night sweats"; fatigue (medically significant), outcome "unknown", described as "tiredness"; vaccination site swelling (medically significant), outcome "unknown", described as "swelling at the point of vaccine"; injection related reaction (medically significant) with onset 15feb2022, outcome "not recovered", described as "injection associated shivering"; chills (medically significant), outcome "unknown", described as "shivering". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (16feb2022) no - negative covid-19 test, notes: lateral flow. no follow-up attempts are possible; information about lot number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20220216; test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test; comments: lateral flow
Liste des symptômes
chills fatigue night sweats interchange of vaccine products vaccination site swelling sars-cov-2 test off label use injection related reaction
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Other
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na